重症监护病房护理人员人细小病毒B19疑似医院感染暴发调查
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中山大学附属第三医院内科重症监护室, 广东 广州 510000

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吴本权  E-mail: zswbq@163.com

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Suspected outbreak of human parvovirus B19 healthcare-associated infection among nurses in an intensive care unit
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Department of Internal Medicine Intensive Care Unit, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510000, China

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    摘要:

    目的 对一起由人细小病毒B19(HPV-B19)引发的疑似医院感染暴发事件进行调查分析。 方法 采用流行病学调查方法和环境卫生学监测, 对2021年5月12—19日某三甲医院重症监护病房(ICU)护理人员发生的皮疹事件进行调查, 分析其发生的可能因素, 并采取有效的控制措施。 结果 在HPV-B19感染并噬血细胞综合征患者住院期间, ICU共有50名医护人员, 其中医生11名, 护理人员39名。11名护理人员(22.0%)于患者出院后第5天开始相继出现皮疹。皮疹部位主要为双下肢(100.0%), 皮疹多为红色丘疹(45.5%), 同时伴有关节痛(72.7%)、浅表淋巴结肿大(63.6%)、乏力(54.5%), 肌肉酸痛(45.5%)等。11名护理人员均为女性, 平均年龄(27.82±2.6)岁。9名进行了HPV-B19 DNA和(或)特异性抗体IgM检测, 结果均阳性。均予复方甘草酸苷片、氯雷他定、岗梅感冒颗粒口服等对症治疗, 皮疹持续时间5~60 d。其中1例妊娠者未发生流产, 定期产检监测, 未发现胎儿异常。自5月19日采取控制措施后未发现相关病例。 结论 此次事件是ICU疑似HPV-B19医院感染暴发事件, 临床医生需加强对该病毒的正确认识, 落实感染防控措施, 以避免医院感染暴发事件的发生。

    Abstract:

    Objective To investigate and analyze a suspected outbreak of healthcare-associated infection (HAI) caused by human parvovirus B19 (HPV-B19). Methods Epidemiological investigation and environmental hygiene monitoring were used to investigate the rash incident among nurses in intensive care unit (ICU) of a tertiary first-class hospital from May 12 to May19, 2021, the possible factors for the occurrence of rash were analyzed and effective control measures were taken. Results During the hospitalization period of patients with HPV-B19 infection and hemophagocytic syndrome, there were 50 health care workers (HCWs) in ICU, including 11 doctors and 39 nurses. Eleven nurses (22.0%) developed rash on the 5th day after patients' discharge. The main rash sites were lower limbs (100.0%), most rash was red papules (45.5%), accompanied by joint pain (72.7%), superficial lymphadenec- tasis (63.6%), fatigue (54.5%), and muscle soreness (45.5%). Eleven nurses were all female, with an average age of (27.82±2.6) years. Nine nurses were tested for HPV-B19 DNA and/or specific antibody IgM, results were all positive. All nurses were given symptomatic treatment such as compound glycyrrhizin tablets, loratadine and Gangmei Ganmao granules, the rash lasted for 5-60 days. One nurse was pregnant, without abortion, fetal abnormality was not found during regular prenatal monitoring. No relevant cases have been found since the control mea-sures were taken from May 19. Conclusion This incident is a suspected outbreak of HPV-B19 HAI in ICU, clinicians need to strengthen the correct understanding of the virus as well as implement infection prevention and control measures to avoid the occurrence of HAI outbreak.

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胡佳佳,王艳红,巴俊慧,等.重症监护病房护理人员人细小病毒B19疑似医院感染暴发调查[J]. 中国感染控制杂志,2022,(5):488-493. DOI:10.12138/j. issn.1671-9638.20222052.
Jia-jia HU, Yan-hong WANG, Jun-hui BA, et al. Suspected outbreak of human parvovirus B19 healthcare-associated infection among nurses in an intensive care unit[J]. Chin J Infect Control, 2022,(5):488-493. DOI:10.12138/j. issn.1671-9638.20222052.

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  • 收稿日期:2021-10-25
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  • 在线发布日期: 2024-04-28
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